<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('用户手机号')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-mobile" data-rule="required"  class="form-control " name="row[mobile]" type="number" value="">
        </div>
    </div>


    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('类型')}:</label>
        <div class="col-xs-12 col-sm-8">
            <select  id="c-type"  class="form-control selectpicker" name="row[type]">
                <option value="-1">请选择类型</option>
                <option value="province" { value="$row.type"}selected{/in}>省运营中心</option>
                <option value="city" { value="$row.type"}selected{/in}>市运营中心</option>
                <option value="area" { value="$row.type"}selected{/in}>区运营中心</option>
            </select>
        </div>
    </div>



    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('选择城市')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="form-inline" data-toggle="cxselect" data-selects="province,city,area">
                <select id="c-province" class="province form-control" name="row[province]" data-url="ajax/area"></select>
                <select id="c-city" class="city form-control" name="row[city]" data-url="ajax/area"></select>
                <select id="c-area"  class="area form-control" name="row[area]" data-url="ajax/area"></select>
            </div>
        </div>
    </div>




    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
